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HomeMy WebLinkAbout108976 L & M ENTERPRISES INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE *M1 F DATE(MMfDD/YYYY) 12/15/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland, CO 8OS38 CONTANAME: Renee McReynolds PA"OFAX ONeEat:970.679.7344 AC.Np:866.42S.6180 AODREss: renee-mcreynolds@leavitt.com INSURER(S) AFFORDING COVERAGE NAIC It INSURER A: Cincinnati Insurance Co 10677 INSURED L & M Enterprises Inc P 0 BOX W 735 E. Highway 56 Berthoud CO 80513 INSURERB: Commerce and Industry Ins Co 19410 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1S-16 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY IcXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR X Blkt WOS ENP0224898 ADDL INSURED FORM INCL ONGOING AND COMPLETED OPERATION 01/01/2015 01/01/2016 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 500,000 MED EXP (My one Person) $ 10,00 PERSONAL BADVINJURY X Blkt Addl Insureds GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: X PROLOC JECTAUTOMOBILE PRODUCTS-COMP/OP AGGPOLICY W2,000,000 A UABIUTY ANY AUTO ALL AUTOS NED AUTOESULED NON_ONED AUTOS AUTOS NX Blkt WOS Blkt AI ENP022489 01/01/2015 01/01/2016 Eaacchfem BODILY INJURY(Per person) BODILY INJURY(Per accident)HIRED Per accident X $ A X UMBRELLALMB EXCESS LIAR X OCCUR CLAIMS -MADE ENP022489 01/01/2015 01/01/2016 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 DIED I X I RETENTIONS C $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIV YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A WC01939721 INCL BLANKET WAIVE OF SUBROGATIO 01/01/2015 01/0112016 X W TORY LIMITS ER E.L. EACH ACCIDENT Is 1,000,000 E.L. DISEASE -EA EMPLOYE $ 1:000,0Q E.L. DISEASE -POLICY LIMIT $ 1, 000,000 A ontractors' Equipment $8S,000 Installation Floater FNP0224898 01/01/2015 01/01/2016 Leased/Rented Equipment $150,000 limit - $1000 deduct DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule. If more space Is required) e: 8016 SH392 & I-25 Community ID Signs Certificate holder is named additional insured as respects both general and auto liability policies. CERTIFICATE HOLDER CANCELLATION City of Fort Collins P 0 Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CORPORATION. All ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD